Dhillon Priya, Powell Barry, Mehdi Syed
Department of Plastic Surgery, St George's Hospital, UK.
JPRAS Open. 2020 Mar 12;24:43-46. doi: 10.1016/j.jpra.2020.03.001. eCollection 2020 Jun.
Aggressive digital papillary adenocarcinomas (ADPA) are malignant tumours of the sweat gland. Due to the high tendency to recur and metastasise, wide local resection of the lesion is recommended. However, there are a limited number of cases reporting the use of sentinel node biopsy in the management of ADPA, thus its effectiveness remains unclear. We present a case of ADPA of the right middle finger treated with digital amputation and sentinel node biopsy, and review the current literature focusing on the usefulness of sentinel node biopsy.
侵袭性指状乳头状腺癌（ADPA）是汗腺的恶性肿瘤。由于其复发和转移倾向高，建议对病变进行广泛局部切除。然而，报道在ADPA治疗中使用前哨淋巴结活检的病例数量有限，因此其有效性仍不明确。我们报告一例右手食指ADPA患者，采用手指截肢术和前哨淋巴结活检进行治疗，并回顾当前关于前哨淋巴结活检实用性的文献。
